Vacancies at Old Mutual Kenya

Job Description

The Medical Claims Analyst is responsible for managing and overseeing medical reinsurance claims in accordance with established treaties. This role involves documenting and reporting reinsurance recoveries, collaborating with intermediaries to ensure compliance with corporate strategy, and reconciling recoveries against financial records. Additionally, the analyst is tasked with reporting special acceptances to reinsurers, tracking discounts, processing reimbursement claims, managing client relationships, and ensuring efficient document management within the medical claims system.

KEY RESPONSIBILITIES

• Document and report reinsurance recoveries bi-monthly in alignment with medical reinsurance treaties.
• Actively pursue reinsurance recoveries in collaboration with intermediaries to adhere to corporate strategy.
• Monthly reporting of special acceptances to reinsurers as outlined in reinsurance treaties.
• Reconcile reinsurance recoveries against financial records, taking corrective action for any observed deviations.
• Track discounts earned and reported any deviations from set targets.
• Attend stakeholder meetings to ensure proper traction of reinsurance claims and report data to various stakeholders.
• Process reimbursement claims and ensure timely payments in line with the reimbursement policy.
• Manage client and intermediary relationships to uphold service standards.
• Process and track ex gratia awards and foreign claims, ensuring compliance with reserving philosophy and claims strategy.
• Clean up the medical claims electronic data management system to maintain efficiency.
• Organize trainings on document uploads in collaboration with key partners, ensuring compliance with corporate document management policy.
• Monitor claims team production through allocation of work, supervision, and general review to ensure quality output.
• Proactively manage member benefits and report any unusual trends according to agreed Service Level Agreements (SLA) with suppliers and partners.
• Cooperate with internal and external auditors for audits of medical claims practices.

SKILLS & COMPETENCIES

• Analytical skills
• Decision-making
• Good communication and interpersonal skills
• Proficiency in all Microsoft applications
• Team player

QUALIFICATION

• Bachelor's degree in a relevant field such as Health, Business, Finance, Insurance, or a related discipline.

EXPERIENCE

• Previous experience in claims processing or a related field is preferred.

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Job Description

We are seeking an experienced and highly skilled Senior Legal Counsel to join our legal team. The Senior Legal Counsel will play a crucial role in providing legal advice, guidance, and support to the organization. This position requires a deep understanding of various legal matters, excellent communication skills, and the ability to work collaboratively with internal and external stakeholders.

Key deliverables

Legal Advisory:

• Provide legal advice and guidance to the organization on a wide range of legal issues, including but not limited to contracts, employment law, intellectual property, and regulatory compliance.
• Review, draft, and negotiate contracts, agreements, and other legal documents.
• Providing support in corporate financing engagements

Risk Management:

• Identify and assess legal risks in business operations and propose strategies to mitigate such risks.
• Collaborate with internal teams to develop and implement risk management policies and procedures.

Compliance:

• Stay abreast of changes in relevant laws and regulations to ensure the organization's compliance.
• Develop and deliver legal training programs to employees to enhance awareness of legal issues.

• Attending regulatory/industry meeting

Dispute Resolution:

• Manage and resolve legal disputes, including coordinating with external legal counsel when necessary.
• Represent the organization in legal proceedings and negotiations.

Corporate Governance:

• Ensure compliance with corporate governance requirements and maintain corporate records.
• Provide support for board meetings and governance matters.

Collaboration:

• Collaborate with cross-functional teams to understand business objectives and provide legal support aligned with organizational goals.
• Work closely with external legal counsel when required.

Qualifications:

• Bachelor of Law degree from an accredited law school.
• Admitted as an advocate of the High Court of Kenya with 5 years post qualification experience
• Registration as a Certified Secretary will be an added advantage
• Strong knowledge of financial services and legal best practices.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.

Preferred Qualifications:

• In-house legal experience.
• Experience working in the financial services sector
• Additional certifications or specialized training in relevant legal areas.